2.50
Hdl Handle:
http://hdl.handle.net/10755/182384
Category:
Abstract
Type:
Presentation
Title:
Bedside Walking Rounds: An Effective Change-of-Shift Reporting Method
Author(s):
Baranda, Dulce
Author Details:
Dulce Baranda, RN, MSN, Cedars-Sinai Medical Center, Los Angeles, California, USA, email: Dulce.Baranda@cshs.org
Abstract:
A fundamental goal during change-of-shift is to provide an accurate and complete hand-off report to the next care provider to ensure that pertinent information is discussed, plans of care are reviewed, and patient-care outcomes are achieved. A variety of shift report methods have been discussed in the literature, each presenting its own successes and challenges. Shift report is an integral part of one's nursing routine as it sets the stage for which nursing tasks need to be performed and what patient-care needs require prioritization to achieve the desired outcomes. Bedside walking rounds were piloted on a general medical-surgical unit as part of a test-of-change through the Transforming Care at the Bedside (TCAB) initiative. It is based on the Plan-Do-Study-Act (PDSA) performance improvement model. Nurses were able to obtain complete and accurate SBAR (Situation, Background, Assessment, Recommendation) reports during patient hand-offs. Bedside walking rounds enabled both the off-going and on-coming shift nurses to verify pertinent information and initiate clarifications. In the process, patients became active participants with emphasis placed on a "shared" responsibility for one's plan of care. Furthermore, patient needs were immediately identified that facilitated the prioritization of a nurse's work load. Since its inception, results have demonstrated an overall increase in nursing and patient satisfaction and time spent in direct patient care (from 40% to 75%), a decrease in needless waits and delays with more focus on value-added activities, and a culture shift toward patient-centered care and patient safety.
Repository Posting Date:
28-Oct-2011
Date of Publication:
28-Oct-2011
Conference Date:
2009
Conference Name:
ANCC National Magnet Conference
Conference Host:
American Nurses Credentialing Center
Conference Location:
Louisville, Kentucky, USA
Description:
"Magnet: Inspiring Innovation, Achieving Outcomes" was the theme and "Explore the relationship among leadership, innovation, and nursing practice outcomes" was the goal of the 13th American Nurses Credentialing Center (ANCC) National Magnet Conference, held 1-3 October, 2009 in Louisville, Kentucky, USA.
Note:
This is an abstract-only submission. If the author has submitted a full-text item based on this abstract, you may find it by browsing the Virginia Henderson Global Nursing e-Repository by author. If author contact information is available in this abstract, please feel free to contact him or her with your queries regarding this submission. Alternatively, please contact the conference host, journal, or publisher (according to the circumstance) for further details regarding this item. If a citation is listed in this record, the item has been published and is available via open-access avenues or a journal/database subscription. Contact your library for assistance in obtaining the as-published article.

Full metadata record

DC FieldValue Language
dc.type.categoryAbstracten_US
dc.typePresentationen_GB
dc.titleBedside Walking Rounds: An Effective Change-of-Shift Reporting Methoden_GB
dc.contributor.authorBaranda, Dulceen_US
dc.author.detailsDulce Baranda, RN, MSN, Cedars-Sinai Medical Center, Los Angeles, California, USA, email: Dulce.Baranda@cshs.orgen_US
dc.identifier.urihttp://hdl.handle.net/10755/182384-
dc.description.abstractA fundamental goal during change-of-shift is to provide an accurate and complete hand-off report to the next care provider to ensure that pertinent information is discussed, plans of care are reviewed, and patient-care outcomes are achieved. A variety of shift report methods have been discussed in the literature, each presenting its own successes and challenges. Shift report is an integral part of one's nursing routine as it sets the stage for which nursing tasks need to be performed and what patient-care needs require prioritization to achieve the desired outcomes. Bedside walking rounds were piloted on a general medical-surgical unit as part of a test-of-change through the Transforming Care at the Bedside (TCAB) initiative. It is based on the Plan-Do-Study-Act (PDSA) performance improvement model. Nurses were able to obtain complete and accurate SBAR (Situation, Background, Assessment, Recommendation) reports during patient hand-offs. Bedside walking rounds enabled both the off-going and on-coming shift nurses to verify pertinent information and initiate clarifications. In the process, patients became active participants with emphasis placed on a "shared" responsibility for one's plan of care. Furthermore, patient needs were immediately identified that facilitated the prioritization of a nurse's work load. Since its inception, results have demonstrated an overall increase in nursing and patient satisfaction and time spent in direct patient care (from 40% to 75%), a decrease in needless waits and delays with more focus on value-added activities, and a culture shift toward patient-centered care and patient safety.en_GB
dc.date.available2011-10-28T15:21:54Z-
dc.date.issued2011-10-28en_GB
dc.date.accessioned2011-10-28T15:21:54Z-
dc.conference.date2009en_US
dc.conference.nameANCC National Magnet Conferenceen_US
dc.conference.hostAmerican Nurses Credentialing Centeren_US
dc.conference.locationLouisville, Kentucky, USAen_US
dc.description"Magnet: Inspiring Innovation, Achieving Outcomes" was the theme and "Explore the relationship among leadership, innovation, and nursing practice outcomes" was the goal of the 13th American Nurses Credentialing Center (ANCC) National Magnet Conference, held 1-3 October, 2009 in Louisville, Kentucky, USA.en_US
dc.description.noteThis is an abstract-only submission. If the author has submitted a full-text item based on this abstract, you may find it by browsing the Virginia Henderson Global Nursing e-Repository by author. If author contact information is available in this abstract, please feel free to contact him or her with your queries regarding this submission. Alternatively, please contact the conference host, journal, or publisher (according to the circumstance) for further details regarding this item. If a citation is listed in this record, the item has been published and is available via open-access avenues or a journal/database subscription. Contact your library for assistance in obtaining the as-published article.-
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